Healthcare Provider Details
I. General information
NPI: 1740217009
Provider Name (Legal Business Name): ANTHONY J FINIZIA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2006
Last Update Date: 12/27/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US
IV. Provider business mailing address
2500 METROHEALTH DR
CLEVELAND OH
44109-1900
US
V. Phone/Fax
- Phone: 216-778-7800
- Fax:
- Phone: 216-398-0100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RA0000X |
| Taxonomy | Adolescent Medicine (Internal Medicine) Physician |
| License Number | 35084575 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: